Introduction The World Health Organization recommends team-based care (TBC) for hypertension control, particularly in low-resourced settings. This study assessed current practices, task distribution, and perspectives on a team-based approach to hypertension management in Ghana.

Methods In this cross-sectional study, we used convenience sampling to disseminate an online Resolve to Save Lives Survey (RTSL) to healthcare workers (HCWs) involved in hypertension management. Hypertension task-complexity was conceptualized (administrative, basic, and advanced clinical tasks) based on the Team-Based Hypertension Care conceptual framework and stratified by HCWs and facility-level characteristics.

Results Among 345 HCWs, the mean age was 34 (±6.3), 58% were males, and 48% practiced in urban centers. Clinical task performance varies by setting, level of care, and education. Most administrative tasks were performed by non-clinicians (69%) and community health workers (14%). Basic clinical tasks were team-based, shared among nurses, pharmacists, and physician assistants. Nearly all advanced tasks were handled by physicians (28%) and physician assistants (43%). Major barriers to TBC included limited scope-of-practice laws (79%), inadequate training of non-physician workers (74%), opposition by physicians (62%), resistance by patients (57%), and opposition by nurses (43%). Utilization of treatment algorithms (96%), m-health technology (93%), and adequate HCW compensation (79%) were notable facilitators.

Conclusions With dire shortages of physicians, strengthening the capacity of non- physician HCWs to perform advanced clinical tasks is essential for effective hypertension care in Ghana. Policies are needed to support training, expanded scope of practice, and regulatory reform to advance team-based care.

The authors have declared no competing interest.

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The details of the IRB/oversight body that provided approval or exemption for the research described are given below:

This study was reviewed and approved by the Ghana Health Service Ethics Review Committee (Protocol ID: GHS-ERC026/03/23).

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Data cannot be shared publicly because it represent the perspective HCW workers and personal details. Data are available from the Institutional Data Access / Ethics Committee (contact via hinneh90gmail.com) for researchers who meet the criteria for access to confidential data.